Provider Demographics
NPI:1902067580
Name:RELIABILITY HOME HEALTH SERVICES,P.C.
Entity Type:Organization
Organization Name:RELIABILITY HOME HEALTH SERVICES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RADIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESIKAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:248-304-9771
Mailing Address - Street 1:19111 W 10 MILE RD STE 112
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2449
Mailing Address - Country:US
Mailing Address - Phone:248-304-9771
Mailing Address - Fax:248-304-9772
Practice Address - Street 1:19111 W 10 MILE RD STE 112
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2449
Practice Address - Country:US
Practice Address - Phone:248-304-9771
Practice Address - Fax:248-304-9772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201002935314000000X
MI5501004937314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN89780002Medicare PIN
MION89780Medicare PIN